A claims examiner follows a systematic process in which he identifies all pertinent claim issues in order to maintain consistency and accuracy. Which of the following is NOT considered to be an issue that would be examined by this individual?

a. Issues with eligibility at the time of the claim
b. Indications of other possible coverage plans
c. A determination of what the policy/plan language provides
d. Issues of keeping the claimant informed


D

Health Professions

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Which of the following is the MOST accurate rule to control communications?

A. Calls are distributed and given different channels. B. Firefighters should speak directly into the microphone after pressing key. C. Only the fire chief and Incident Commander identify themselves in every transmission. D. Receiver must acknowledge every message by repeating essence of the message to sender.

Health Professions

A solution holding the maximum amount of solute in a given volume at a constant temperature is said to be what?

a. Hypertonic b. Hypotonic c. Saturated d. Supersaturated

Health Professions

You are driving in the right-hand lane while transporting a patient to the hospital in nonemergency mode. In your side view mirror, you notice that a small truck is tailgating you. What should you do?

A) Maintain your current speed and advise the dispatcher to contact the police. B) Turn on your emergency lights, move to the left lane, and allow the truck to pass. C) Increase your speed to increase the distance between you and the tailgating truck. D) Gently tap your brakes to alert the driver that he or she is following too close behind you.

Health Professions

Define the underlined terms in the following case study. A 12-year-old thoroughbred gelding with bloom and a history of cribbing presented to the clinic with capped hocks and sweeney. The owner reported that the horse, a former racer, had been exhibiting a lack of suspension. When trotted out, however, the horse proved sound on old osselets

Health Professions